| NPI | 1093236481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA LEP3661) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA LEP3661) |
| 103TC1900X Psychologist, Counseling (Licence: CA LEP3661) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA LEP3661) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |